Muller Bart, Willinge Gijs J A, Zijl Jacco A C
St. Antonius Hospital, Department of Orthopaedic Surgery, Utrecht, the Netherlands.
Arthrosc Tech. 2020 Dec 19;10(1):e29-e36. doi: 10.1016/j.eats.2020.09.006. eCollection 2021 Jan.
Increasing emphasis in the literature is recently being put on controlling rotational stability in patients with an anterior cruciate ligament rupture by addressing the anterolateral complex during anterior cruciate ligament reconstruction. Many different techniques for lateral extra-articular tenodesis have been described, with the (modified) Lemaire technique being widely favored. Recent literature does report that lateral extra-articular tenodesis leads to a reduction in persistent rotatory laxity and graft rupture rate, but also may be associated with increased pain, reduced quadriceps strength, reduced subjective functional recovery, and cosmetic complaints. Thus this article aims to describe our minimally invasive technique for a modified Lemaire tenodesis.
最近，文献中越来越强调在进行前交叉韧带重建时，通过处理前外侧复合体来控制前交叉韧带断裂患者的旋转稳定性。已经描述了许多不同的外侧关节外肌腱固定术技术，其中（改良的）勒梅尔技术广受青睐。最近的文献确实报道，外侧关节外肌腱固定术可降低持续性旋转松弛和移植物破裂率，但也可能与疼痛加剧、股四头肌力量减弱、主观功能恢复降低以及美容方面的问题有关。因此，本文旨在描述我们用于改良勒梅尔肌腱固定术的微创技术。
